# WHOLENESS CENTER, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811279573
- **Authorized official:** DR. SCOTT SHANNON M.D. (PRESIDENT)
- **Authorized official phone:** (970) 221-1106

## Contact information

- **Practice address:** 2620 E PROSPECT RD STE 190, FORT COLLINS, CO 80525-9098
- **Practice address phone:** (970) 221-1106
- **Practice address fax:** (970) 232-1050
- **Mailing address:** 2620 E PROSPECT RD STE 190, FORT COLLINS, CO 80525-9098
- **Mailing address phone:** (970) 221-1106
- **Mailing address fax:** (970) 232-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 31090 | CO | — |
| 103T00000X | Psychologist | 31090 | CO | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 31090 | CO | — |
| 1041C0700X | Clinical Social Worker | 31090 | CO | — |
| 106H00000X | Marriage & Family Therapist | 31090 | CO | — |
| 133N00000X | Nutritionist | 31090 | CO | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 990045 | CO | — |
| 171100000X | Acupuncturist | 31090 | CO | — |
| 174H00000X | Health Educator | 31090 | CO | — |
| 175F00000X | Naturopath | 31090 | CO | — |
| 2084P0800X | Psychiatry Physician | 31090 | CO | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 31090 | CO | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | 990045 | CO | — |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 09/20/2011